Abstract
The COVID-19 pandemic has adversely impacted the well-being of K-12 students, positioning youth mental health as a public health priority. School closures and remote learning are identified as key factors worsening child and adolescent mental well-being. However, research is sparse about the pandemic’s impact on the mental health of Black and Latinx youth, who have already been at increased risk of mental health problems. Further, community perspectives on actionable, school-based mental health policies are scarce, which may limit the relevance of implemented policies. The current study had two research questions: (1) What do professionals from diverse sectors perceive the impact of the COVID-19 pandemic to be on the mental health of Black and Latinx youth from low-income backgrounds? (2) What policies do community professionals recommend to address Black and Latinx youth mental health in public schools? This qualitative study applied community-partnered participatory research principles. Focus groups and semi-structured interviews were conducted from April–June 2021 with 30 youth-serving community-based professionals working in an urban area. We utilized grounded theory methodology to identify key themes. Dominant themes for perceived mental health impact were anxiety and depression with more frequent and intense suicidal ideation. The most frequent school policy recommendations were to increase access to individual supports in schools and to implement early detection and prevention initiatives. Further investment in workforce capacity in schools is vital to address the mental health needs of Black and Latinx youth. Policymakers can learn from stakeholders to help ensure that policies align with community needs.
Similar content being viewed by others
References
Abreu, R. L., Barrita, A. M., Martin, J. A., Sostre, J., & Gonzalez, K. A. (2023). Latinx LGBTQ youth, COVID-19, and psychological well-being: A systematic review. Journal of Clinical Child & Adolescent Psychology, 46, 1–16. https://doi.org/10.1080/15374416.2022.2158839
Altschul, D. B., Bonham, C. A., Faulkner, M. J., Farnbach Pearson, A. W., Reno, J., Lindstrom, W., Alonso-Marsden, S. M., Crisanti, A., Salvador, J. G., & Larson, R. (2018). State legislative approach to enumerating behavioral health workforce shortages: lessons learned in New Mexico. American Journal of Preventive Medicine, 54(6), S220–S229. https://doi.org/10.1016/j.amepre.2018.02.005
Alvarez, R. A., Vasquez, E., Mayorga, C. C., Feaster, D. J., & Mitrani, V. B. (2006). Increasing Minority Research Participation Through Community Organization Outreach. pp. 541–560
Amani, B., Cabral, A., Sharif, M. Z., Huỳnh, J., Skrine Jeffers, K., Baptista, S. A., McAndrew, B., Bradford, N. J., de la Rocha, P., & Ford, C. L. (2022). Integrated methods for applying critical race theory to qualitative COVID-19 equity research. Ethnicity and Disease, 32(3), 243–256.
Beebe, J. (2001). Rapid Assessment Process: An Introduction. Rowman Altamira.
Bogan, E., Adams-Bass, V. N., Francis, L. A., Gaylord-Harden, N. K., Seaton, E. K., Scott, J. C., & Williams, J. L. (2022). “Wearing a mask won’t protect us from our history”: The impact of COVID-19 on black children and families. Social Policy Report, 35(2), 1–33. https://doi.org/10.1002/sop2.23
Breland-Noble, A., & The AAKOMA Project Inc. (2022). The AAKOMA Project’s State of Mental Health for Youth of Color, Executive Summary, 2022.
Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Sheftall, A. H., Greenhouse, J., Kelleher, K. J., & Campo, J. V. (2018). Age-related racial disparity in suicide rates among US youths from 2001 through 2015. JAMA Pediatrics, 172(7), 697. https://doi.org/10.1001/jamapediatrics.2018.0399
Buchanan, N. T., Perez, M., Prinstein, M. J., & Thurston, I. B. (2021). Upending racism in psychological science: Strategies to change how science is conducted. Reported, Reviewed, and Disseminated, 76(7), 1097–1112.
Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide through Qualitative Analysis. Sage.
Chavira, D. A., Ponting, C., & Ramos, G. (2022). The impact of COVID-19 on child and adolescent mental health and treatment considerations. Behaviour Research and Therapy, 157(January), 104169. https://doi.org/10.1016/j.brat.2022.104169
Chen, C. Y. C., Byrne, E., & Vélez, T. (2021). Impact of the 2020 pandemic of COVID-19 on families with school-aged children in the United States: Roles of income level and race. Journal of Family Issues, 56, 1–22. https://doi.org/10.1177/0192513X21994153
Clawson, A. H., Nwankwo, C. N., Blair, A. L., Pepper-Davis, M., Ruppe, N. M., & Cole, A. B. (2021). COVID-19 impacts on families of color and families of children with asthma. Journal of Pediatric Psychology, 46(4), 378–391. https://doi.org/10.1093/jpepsy/jsab021
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S. L., & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129
Connelly, L. M. (2016). Trustworthiness in qualitative research. Medsurg Nursing Official Journal of the Academy of Medical-Surgical Nurses, 25(6), 435–436. https://doi.org/10.1177/08903344221116620
American School Counselor Association. (2021). Student-to-School-Counselor Ratio 2020–2021.
Cunningham-Erves, J., Parham, I., Alexander, L., Moss, J., Barre, I., Gillyard, T., & Davis, J. (2022). African Americans and the COVID-19 pandemic: A qualitative inquiry of preparedness, challenges, and strategies on how we can move forward. Social Science and Medicine, 307(June), 115185. https://doi.org/10.1016/j.socscimed.2022.115185
DeBoer, J. L., Allouche, S. F., Vasquez, J. I., & Rhodes, J. (2022). Equitable practices in school mental health. Psychology in the Schools, 59(6), 1222–1238. https://doi.org/10.1002/pits.22678
Doan, S. N., Yu, S. H., Wright, B., Fung, J., Saleem, F., & Lau, A. S. (2022). Resilience and family socialization processes in ethnic minority youth: illuminating the achievement-health paradox. Clinical Child and Family Psychology Review, 25(1), 75–92. https://doi.org/10.1007/s10567-022-00389-1
Duarté-Vélez, Y., Vélez-Grau, C., & Álvarez, K. (2021). Psychosocial treatments for ethnoculturally diverse youth with suicidal thoughts and behaviors. Handbook of Youth Suicide Prevention. https://doi.org/10.1007/978-3-030-82465-5_19
Fensterwald, J., Burke, M., D’Souza, K., Johnson, S., Jones, C., Lambert, D., Smith, A., & Tadayon, A. (2021). Unprecedented California budget to usher in sweeping education changes. EdSource.
Gillyard, T., Davis, J., Parham, I., Moss, J., Barre, I., Alexander, L., & Cunningham-Erves, J. (2022). Psychosocial stressors and coping strategies among African Americans during early stages of the COVID-19 pandemic: A qualitative study. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-022-01229-2
Glaser, B. G., Strauss, A. L., & Strutzel, E. (1968). The discovery of grounded theory; strategies for qualitative research. In Nursing Research, 17, 364. https://doi.org/10.1097/00006199-196807000-00014
Grossoehme, D. H. (2014). Overview of qualitative research. Journal of Health Care Chaplaincy, 20(3), 109–122. https://doi.org/10.1080/08854726.2014.925660
Hawke, L. D., Barbic, S. P., Voineskos, A., Szatmari, P., Cleverley, K., Hayes, E., Relihan, J., Daley, M., Courtney, D., Cheung, A., Darnay, K., & Henderson, J. L. (2020). Impacts of COVID-19 on youth mental health, substance use, and well-being: A rapid survey of clinical and community samples: répercussions de la COVID-19 sur la santé mentale, l’utilisation de substances et le bien-être des adolescents : Un sondage rapide. Canadian Journal of Psychiatry, 65(10), 701–709. https://doi.org/10.1177/0706743720940562
Hawrilenko, M., Kroshus, E., Tandon, P., & Christakis, D. (2021). The Association Between School Closures and Child Mental Health During COVID-19. 4(9), 1–11 DOI: https://doi.org/10.1001/jamanetworkopen.2021.24092
Hermann, V., Durbeej, N., Karlsson, A., & Sarkadi, A. (2022). Feeling mentally unwell is the “new normal”. A qualitative study on adolescents’ views of mental health problems and related stigma. Children and Youth Services Review, 143, 106660. https://doi.org/10.1016/j.childyouth.2022.106660
Hill, R. M., Rufino, K., Kurian, S., Saxena, J., Saxena, K., & Williams, L. (2021). Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics, 147(3), 29280. https://doi.org/10.1542/PEDS.2020-029280
Hoover, S., & Bostic, J. (2021). Schools as a vital component of the child and adolescent mental health system. Psychiatric Services, 72(1), 37–48. https://doi.org/10.1176/APPI.PS.201900575
Hoyt, L. T., et al. (2021). Constant stress has become the new normal: Stress and anxiety inequalities among U.S. college students in the time of. Journal of Adolescent Health, 68(2), 270–276. https://doi.org/10.1016/j.jadohealth.2020.10.030
Jones, E. A. K., Mitra, A. K., & Bhuiyan, A. R. (2021a). Impact of COVID-19 on mental health in adolescents: A systematic review. International Journal of Environmental Research and Public Health, 18(5), 2470. https://doi.org/10.3390/ijerph18052470
Jones, T. M., Williford, A., Spencer, M. S., Riggs, N. R., Toll, R., George, M., Becker, K., & Bruick, S. (2021b). School mental health providers’ perspectives on the impact of COVID-19 on racial inequities and school disengagement. Children & Schools, 43(2), 97–106. https://doi.org/10.1093/cs/cdab009
Jones, S. E., Ethier, K. A., Hertz, M., DeGue, S., Le, V. D., Thornton, J., Lim, C., Dittus, P. J., & Geda, S. (2022). Mental health, suicidality, and connectedness among high school students during the COVID-19 pandemic—Adolescent behaviors and experiences survey, United States, January–June 2021. MMWR Supplements, 71(3), 16–21. https://doi.org/10.15585/mmwr.su7103a3
Kamenetz, A. (2022). Two years ago schools shut down around the world. These are the biggest impacts. National Public Radio, 45, 1–15.
Lipson, M., Boozang, P., Rozario, N., & Manatt Health. (2022). Creating a Robust, Diverse, and Resilient Behavioral Health Workforce in Massachusetts.
Meherali, S., Punjani, N., Louie-Poon, S., Rahim, K. A., Das, J. K., Salam, R. A., & Lassi, Z. S. (2021). Mental health of children and adolescents amidst covid-19 and past pandemics: A rapid systematic review. International Journal of Environmental Research and Public Health, 18(7), 14895892. https://doi.org/10.3390/ijerph18073432
Naff, D., Furman-darby, J., & Yeung, M. (2022). The Mental Health Impacts of COVID-19 on PK – 12 Students: A Systematic Review of Emerging Literature DOI: https://doi.org/10.1177/23328584221084722
Office of the Surgeon General (OSG). (2021). Protecting Youth Mental Health: The U.S. Surgeon General’s Advisory. US Department of Health and Human Services.
Palinkas, L. A., De Leon, J., Salinas, E., Chu, S., Hunter, K., Marshall, T. M., Tadehara, E., Strnad, C. M., Purtle, J., Horwitz, S. M., McKay, M. M., & Hoagwood, K. E. (2021). Impact of the COVID-19 pandemic on child and adolescent mental health policy and practice implementation. International Journal of Environmental Research and Public Health, 18(18), 46952. https://doi.org/10.3390/ijerph18189622
Park, S., & Holloway, S. D. (2013). No parent left behind: Predicting parental involvement in adolescents’ education within a sociodemographically diverse population. Journal of Educational Research, 106(2), 105–119. https://doi.org/10.1080/00220671.2012.667012
Parker, J. S., Haskins, N., Lee, A., Hailemeskel, R., & Adepoju, O. A. (2021). Black adolescents’ perceptions of COVID-19: Challenges, coping, and connection to family, religious, and school support. School Psychology, 36(5), 303–312. https://doi.org/10.1037/spq0000462
Pfefferbaum, B. (2021). Challenges for child mental health raised by school closure and home confinement during the COVID-19 pandemic. Current Psychiatry Reports, 23(10), 1–9. https://doi.org/10.1007/s11920-021-01279-z
QSR International Pty Ltd. (2020). NVivo.
Robinson, W. L. V., Whipple, C. R., Keenan, K., Flack, C. E., & Wingate, L. R. (2022). Suicide in African American adolescents: Understanding risk by studying resilience. Annual Review of Clinical Psychology, 18, 359–385. https://doi.org/10.1146/annurev-clinpsy-072220-021819
Rocha, C., Mendoza, I., Lovell, J. L., Espinoza, S., Gil, C., Santos, M., & Cervantes, A. (2022). Using youth-led participatory action research to advance the mental health needs of latinx youth during COVID-19. School Psychology Review, 1, 17. https://doi.org/10.1080/2372966x.2022.2093126
Rogers, A. A., Ha, T., & Ockey, S. (2021). Adolescents’ perceived socio-emotional impact of COVID-19 and implications for mental health: Results from a US-based mixed-methods study. Journal of Adolescent Health, 68(1), 43–52. https://doi.org/10.1016/j.jadohealth.2020.09.039
Rogers, A. A., Ha, T., & Ockey, S. (2021). Adolescents’ perceived socio-emotional impact of COVID-19 and implications for mental health: Results from a U.S.-based mixed-methods study. Journal of Adolescent Health, 68(1), 43–52. https://doi.org/10.1016/j.jadohealth.2020.09.039
Salma, J., & Giri, D. (2021). Engaging immigrant and racialized communities in community-based participatory research during the COVID-19 pandemic: Challenges and opportunities. International Journal of Qualitative Methods, 20, 160940692110362. https://doi.org/10.1177/16094069211036293
Samji, H., Wu, J., Ladak, A., Vossen, C., Stewart, E., Dove, N., Long, D., & Snell, G. (2022). Review: Mental health impacts of the COVID-19 pandemic on children and youth—A systematic review. Child and Adolescent Mental Health, 27(2), 173–189. https://doi.org/10.1111/camh.12501
Sharma, S. V, Chuang, R., Rushing, M., Naylor, B., Ranjit, N., Pomeroy, M., & Markham, C. (2020). Social determinants of health–related needs during COVID-19 among low-income households with children. In Preventing Chronic Disease (Vol. 17, E119) DOI: https://doi.org/10.5888/pcd17.200322
Sheftall, A. H., Vakil, F., Ruch, D. A., Boyd, R. C., Lindsey, M. A., & Bridge, J. A. (2022). Black youth suicide: Investigation of current trends and precipitating circumstances. Journal of the American Academy of Child and Adolescent Psychiatry, 61(5), 662–675. https://doi.org/10.1016/j.jaac.2021.08.021
Shim, R. S. (2021). Dismantling Structural Racism in Psychiatry : A Path to Mental Health Equity. July.
Silva, C., & Van Orden, K. A. (2018). Suicide among hispanics in the United States. Current Opinion in Psychology, 22(1), 44–49. https://doi.org/10.1016/j.copsyc.2017.07.013
Singh, S., Roy, D., Sinha, K., Parveen, S., Sharma, G., & Joshi, G. (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Research, 293(January), 113429. https://doi.org/10.1016/j.psychres.2020.113429
Smith-Millman, M., Harrison, S. E., Pierce, L., & Flaspohler, P. D. (2019). “Ready, willing, and able”: Predictors of school mental health providers’ competency in working with LGBTQ youth. Journal of LGBT Youth, 16(4), 380–402. https://doi.org/10.1080/19361653.2019.1580659
Spencer, C. M., Topham, G. L., & King, E. L. (2019). Do online parenting programs create change?: A meta-analysis. Journal of Family Psychology, 34(3), 364–374. https://doi.org/10.1037/fam0000605
Stewart, T. M., Fry, D., Wilson, J., McAra, L., Hamilton, S., King, A., Laurie, M., & McCluskey, G. (2022). Adolescent mental health priorities during the Covid-19 pandemic. School Mental Health, 2020, 9547. https://doi.org/10.1007/s12310-022-09547-w
Stinson, E. A., Sullivan, R. M., Peteet, B. J., Tapert, S. F., Baker, F. C., Breslin, F. J., Dick, A. S., Gonzalez, M. R., Guillaume, M., Marshall, A. T., McCabe, C. J., Pelham, W. E., Van Rinsveld, A., Sheth, C. S., Sowell, E. R., Wade, N. E., Wallace, A. L., & Lisdahl, K. M. (2021). Longitudinal impact of childhood adversity on early adolescent mental health during the COVID-19 pandemic in the ABCD study cohort: Does race or ethnicity moderate findings? Biological Psychiatry Global Open Science, 1(4), 324–335. https://doi.org/10.1016/j.bpsgos.2021.08.007
Tausch, A., Souza, R. O., Viciana, C. M., Cayetano, C., Barbosa, J., & Hennis, A. J. (2022). Strengthening mental health responses to COVID-19 in the Americas: A health policy analysis and recommendations. The Lancet Regional Health Americas, 5, 100118. https://doi.org/10.1016/j.lana.2021.100118
The White House. (2022). FACT SHEET : President Biden to Announce Strategy to Address Our National Mental Health Crisis, As Part of Unity Agenda in his First State of the Union.
Tremblay, S., Castiglione, S., Audet, L. A., Desmarais, M., Horace, M., & Peláez, S. (2021). Conducting qualitative research to respond to COVID-19 challenges: Reflections for the present and beyond. International Journal of Qualitative Methods, 20, 1–8. https://doi.org/10.1177/16094069211009679
Urquhart, C. (2013). Grounded theory for qualitative research. A Practical Guide, 226, 456982.
Wells, K. B., Jones, F., & Norris, K. C. (2020). Applying community-partnered participatory research approaches to develop COVID-19 solutions. Ethnicity and Disease, 30(3), 433–436. https://doi.org/10.18865/ED.30.3.433
Weston, K. (1997). Families we Choose: Lesbians, Gays, Kinship. Columbia University Press.
Whitaker, A., Torres-Guillén, S., Morton, M., Jordan, H., Coyle, S., Mann, A., & Sun, W.-L. (2019). Cops and No Counselors: How the Lack of School Mental Health Staff Is Harming Students.
Yard, E., Radhakrishnan, L., Ballesteros, M. F., Sheppard, M., Gates, A., Stein, Z., Hartnett, K., Kite-Powell, A., Rodgers, L., Adjemian, J., Ehlman, D. C., Holland, K., Idaikkadar, N., Ivey-Stephenson, A., Martinez, P., Law, R., & ScD, D. M. S. (2021). Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic — United States, January 2019–May 2021. MMWR Recommendations and Reports, 70(24), 888–894. https://doi.org/10.15585/mmwr.mm7024e1
Zabek, F., Lyons, M. D., Alwani, N., Taylor, J. V., Brown-Meredith, E., Cruz, M. A., & Southall, V. H. (2023). Roles and functions of school mental health professionals within comprehensive school mental health systems. School Mental Health, 15(1), 1–18. https://doi.org/10.1007/s12310-022-09535-0
Zima, B. T., Edgcomb, J. B., Rodean, J., Cochran, S. D., Harle, C. A., Pathak, J., Tseng, C. H., & Bussing, R. (2022). Use of acute mental health care in U.S. children’s hospitals before and after statewide COVID-19 school closure orders. Psychiatric Services (Washington, D.C.), 73(11), 1202–1209. https://doi.org/10.1176/appi.ps.202100582
Zolopa, C., Burack, J. A., O’Connor, R. M., Corran, C., Lai, J., Bomfim, E., DeGrace, S., Dumont, J., Larney, S., & Wendt, D. C. (2022). Changes in youth mental health, psychological wellbeing, and substance use during the COVID-19 pandemic: A rapid review. Adolescent Research Review, 7(2), 161–177. https://doi.org/10.1007/s40894-022-00185-6
Acknowledgements
We sincerely thank the participants of our study and the board members, who provided their valuable insights, time, and energy during the pandemic. We also thank Drs. Bita Amani and Chandra Ford for their guidance in the initial stages of the project and inspiration.
Funding
This work was funded by the Community Change Leadership Network, a collaborative network of the Robert Wood Johnson Foundation’s Change Leadership Program participants and alumni.
Author information
Authors and Affiliations
Contributions
Conceptualization was done by B.W.; methodology was done by B.W.; formal analysis and investigation were done by B.W. and D.M.; writing—original draft preparation were done by B.W. and D.M.; writing—review and editing were done by B.W., D.M., A.C-V., C.J., K.L.M., M.B., and B.T.Z.; funding acquisition was done by B.W.; resources were done by B.W.
Corresponding author
Ethics declarations
Competing interests
The authors have no relevant financial or non-financial interests to disclose.
Ethical approval
The study was approved by the UCLA Internal Review Board (IRB#20–002301). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
Consent to participate
Informed consent was obtained from all individual participants included in the study.
Consent for publication
Individual participants provided informed consent for publication.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Wright, B., Celeste-Villalvir, A., Moorehead, D. et al. A Community-Partnered Qualitative Study on Multiple Stakeholder Perspectives: The COVID-19 Pandemic’s Perceived Impact on Black and Latinx Youth Mental Health and Community-Driven School Policy Recommendations. School Mental Health 15, 1145–1157 (2023). https://doi.org/10.1007/s12310-023-09611-z
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12310-023-09611-z